555 Wright Way
Carson City, NV 89711-0700
Reno/Sparks/Carson City (775) 684-4DMV (4368)
Las Vegas Area (702) 486-4DMV (4368)
dmvnv.com
Signatures must be originals. Photocopies are not acceptable.
Alterations or Erasure VOIDS this Document
VP213 (Rev 06-16)
APPLICATION FOR SALVAGE TITLE OR NON-REPAIRABLE CERTIFICATE
NRS 487.480
Please type or print in blue or black ink
Insurance Company, Licensed Nevada Business, Wrecker or Recycler Information:
Business Name
Nevada DMV Business License Number or FEIN
Physical Nevada Address
Address
State
Zip Code
Current Mailing Address
Address
State
Zip Code
Telephone:
(
)
-
Email Address
Individual Information:
Full Legal Name
Nevada Driver’s License, ID Number or DOB
Physical Nevada Address
Address
State
Zip Code
Current Mailing Address
Address
State
Zip Code
Telephone:
(
)
-
Email Address
Signature of Applicant
Date
The original, properly endorsed Certificate of Title, and/or other required documents, must be attached for the
vehicle listed on this application.
Vehicle Identification Number
Year
Make
Model
Insurance Company or Individual
Owner:
Please check appropriate box
Please check if duplicate:
Duplicate
Licensed Wrecker Only:
Salvage
In compliance with NRS 487.100
Total Loss
Flood Damaged
In compliance with NRS 487.800
Non-Repairable Vehicle (No fee required for Non-Repairable Vehicle certificate)
NOTE: A Non-Repairable Vehicle may only be processed as parts or scrap metal by a licensed automobile wrecker,
dismantler, or recycler. State law prohibits a Non-Repairable Vehicle from being rebuilt, reconstructed, or restored for
operating on the highways of Nevada.
NOTE: Please include a check or money order for the $11.00 Salvage Title fee, which includes a Technology fee for
each Salvage Title requested. Licensed Nevada Automobile Wreckers are exempt from the Salvage Title fee.